Level 3 Extraocular, Repair, and Plastic Eye Procedures in Iowa
What 15 hospitals in Iowa charged and were paid for level 3 extraocular, repair, and plastic eye procedures (APC 5503), from 2024 Medicare claims.
Average charge
$12,172
Hospital list price billed
Average allowed
$2,064
Medicare's payment + patient's share
Medicare paid
$1,641
Average per service
State rank
#19 of 45
1 = lowest average payment
Hospitals in Iowa billed an average of $12,172 for level 3 extraocular, repair, and plastic eye procedures, about 5.9 times the average medicare-allowed amount of $2,064. That payment is 8% below the U.S. average of $2,242.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $2,064Billed $12,172
About 17¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 3 extraocular, repair, and plastic eye procedures
Every Iowa hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Iowa Hospital & ClinicsIowa City | 343 | $12,694 | $2,071 | $1,646 |
| Mary Greeley Medical CenterAmes | 32 | $10,963 | $2,007 | $1,599 |
| St Lukes HospitalCedar Rapids | 29 | $7,145 | $2,015 | $1,606 |
| Mercy Medical Center-DubuqueDubuque | 11 | $12,700 | $2,131 | $1,698 |
| Marshalltown Medical & Surgical CenterMarshalltown | – | – | – | – |
| Alegent Health Mercy HospitalCouncil Bluffs | – | – | – | – |
| Genesis Medical Center-DavenportDavenport | – | – | – | – |
| Jennie Edmundson HospitalCouncil Bluffs | – | – | – | – |
| Southeast Iowa Regional Medical CenterWest Burlington | – | – | – | – |
| Mercy Medical Center-North IowaMason City | – | – | – | – |
| Mercyone Waterloo Medical CenterWaterloo | – | – | – | – |
| Mercy Medical Center - Cedar RapidsCedar Rapids | – | – | – | – |
| Iowa Methodist Medical CenterDes Moines | – | – | – | – |
| Mercy Medical Center-Des MoinesDes Moines | – | – | – | – |
| The Finley HospitalDubuque | – | – | – | – |
Lowest and highest allowed amounts in Iowa
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Mary Greeley Medical CenterAmes, IA | $2,007 |
|---|---|
| St Lukes HospitalCedar Rapids, IA | $2,015 |
| University of Iowa Hospital & ClinicsIowa City, IA | $2,071 |
| Mercy Medical Center-DubuqueDubuque, IA | $2,131 |
Highest
| Mercy Medical Center-DubuqueDubuque, IA | $2,131 |
|---|---|
| University of Iowa Hospital & ClinicsIowa City, IA | $2,071 |
| St Lukes HospitalCedar Rapids, IA | $2,015 |
| Mary Greeley Medical CenterAmes, IA | $2,007 |
Level 3 Extraocular, Repair, and Plastic Eye Procedures in other states
Questions
How much does level 3 extraocular, repair, and plastic eye procedures cost in Iowa?
In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 15 hospitals in Iowa was billed at $12,172 on average, while the average medicare-allowed amount was $2,064, of which Medicare paid $1,641. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Iowa, average charges were 5.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.